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Individual

MICHAEL ANDREW CORBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., L.L.C.

Contact information

Practice address
915 MIDDLE RIVER DR, #510, FORT LAUDERDALE, FL 33304-3544
(954) 565-4322
Mailing address
915 MIDDLE RIVER DR, #510, FORT LAUDERDALE, FL 33304-3544
(954) 565-4322

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
047072
GA
2084P0800X
Psychiatry Physician
34907
TN
2084P0800X
Psychiatry Physician
Primary
ME88058
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007896561
AETNA
FL
05
2668867100
FL
01
46683
BCBSOFFL
FL
Enumeration date
09/14/2006
Last updated
06/11/2009
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